Provider Demographics
NPI:1942241997
Name:WEST TEXAS MEDICAL CENTER
Entity Type:Organization
Organization Name:WEST TEXAS MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-571-7000
Mailing Address - Street 1:25 VILLAGE CIR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79701-6344
Mailing Address - Country:US
Mailing Address - Phone:432-571-7000
Mailing Address - Fax:432-683-2455
Practice Address - Street 1:25 VILLAGE CIR
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-6344
Practice Address - Country:US
Practice Address - Phone:432-571-7000
Practice Address - Fax:432-683-2455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty